Kathleen Ann Minervini, MA, BCBA
Individual provider Active NPI Behavior Analyst · Butler, NJ
NPI 1003592544 · NPPES record last updated Jun 27, 2023
Key facts
- NPI
- 1003592544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-23-65050 (NJ)
- Practice address
- 68 Decker Rd
Butler, NJ 07405-1505 - Phone
- (201) 838-5075
- NPI assigned
- Jun 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-65050 | NJ | Yes |
Addresses
Primary practice location
68 Decker Rd
Butler, NJ 07405-1505
Mailing address
68 Decker Rd
Butler, NJ 07405-1505
Phone (201) 838-5075
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All providers in Butler, NJ · Behavior Analyst in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.